Heart Pain (Cardialgia): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests.

  • Small blood count
  • Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate).
  • Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – for suspected myocardial infarction (heart attack).
  • D-dimers – for suspected thrombosis or pulmonary embolism.

Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters – for differential diagnostic clarification.

  • Liver parameters-alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH), and gamma-glutamyl transferase (gamma-GT, GGT).
  • Renal parameters – urea, creatinine, creatinine clearance if necessary.
  • Pancreatic parameters (diagnostics of the pancreas) – amylase, elastase and lipase.
  • Tumor markers – depending on the suspected diagnosis.